Orbital Abscess Associated with Sinusitis from Odontogenic Origin

Abstract

P i c t u r e 1 . F r o n t a l v i e w o f t h e p a t i e n t s h o wi n g l e f t e y e b a l l p r o p t o s i s , e r y t h e ma , c h e mo s i s a n d p e r i o r b i t a l s we l l i n g .P i c t u r e 2 . Co n t r a s t -e n h a n c e d c r a n i o -o r b i t a l CT -s c a n : Axi a l v i e w ( A) a n d s a g i t t a l r e c o n s t r u c t i o n ( B ) r e v e a l i n g a l a r g e o r b i t a l a b s c e s s o n t h e l e f t s i d e ( s t a r ) wi t h i n t r a o r b i t a l c e l l u l it i s a n d s p h e n o -e t h mo i d a l s i n u s i t i s . P i c t u r e 3 . Or b i t a l MRI o n T 1 -we i g h t e d i ma g e wi t h g a d o l i ni u m i n j e c t i o n ( c o r o n a l v i e w) r e v e a l i n g a l a r g e r i n g -e n h a n c i n g c y s t i c ma s s i n t h e l e f t o r b i t ( s t a r ) wi t h s e v e r e i n d e n t a t i o n o ft h e e y e b a l l a n d t e mp o r a l e x t e n s i o n . No t e t h e p a r a n a s a l s i n u s i n f l a mma t i o n . PICTURES IN CLINICAL

Ophthalmological Manifestations of Dental Origin

“…[3,5,7] Theories wich can explain the cause and effect relationship: infectious theory, autoimmune theory and reflex theory. [8,9,10] By focal pathology is meant the pathological manifestations related to a bacterial infectious focus. [3,8] Focal infection with the coexistence of a bucco-dental infectious focus and a distant infectious manifestation is today indisputable although rare.…”

Pediatric Odontogenic Sinusitis: A Systematic Review

“…ABS prevalence among children seeking care for respiratory illness is approximately 6-7%, with complications such as orbital and intracranial infections not uncommon [22]. Despite existing reports of PODS and its complications [23], the literature on the subject is mostly anecdotal, thus not allowing us to build a specific management framework accounting for pediatric needs. From a diagnostic standpoint, while CT is a routine tool for ODS diagnosis in adults, radiation exposure should be kept as low as possible in children.…”

Die dentogene Sinusitis

“…Das aktuelle Verständnis der Pathophysiologie der Nebenhöhlenerkrankungen stellt die Erkrankung der ostiomeatalen Einheit in den Mittelpunkt des Interesses. Die Primärerkrankung der Kieferhöhlen mit zum Teil schwerwiegenden, teilweise destruierenden Prozessen bis zur vitalen Bedrohung [1] ist vielen rhinologisch tätigen Ärzten nicht (mehr) bekannt und wird häufig in der Primärdiagnostik nicht ausreichend berücksichtigt. Auch viele Ra-diologen berichten niemals oder nur selten über eine bestehende odontogene Pathologie in ihrer CT-Untersuchung [2].…”